Multiple sulfatase deficiency (MSD) is a lysosomal storage disorder ch
aracterized by a decreased activity of all known sulfatases. The defic
iency of sulfatases was proposed to result from the lack of a co- or p
osttranslational modification that is common to all sulfatases and req
uired for their catalytic activity. Structural analysis of two catalyt
ically active sulfatases revealed that a cysteine residue that is pred
icted from the cDNA sequence and conserved among ail known sulfatases
is replaced by a 2-amino-3-oxopropionic acid residue, while in sulfata
ses derived from MSD cells, this cysteine residue is retained. It is p
roposed that the co- or posttranslational conversion of a cysteine to
5-amino-3-oxopropionic acid is required for generating catalytically a
ctive sulfatases and that deficiency of this protein modification is t
he cause of MSD.